Dr. Tony S. Fu
Dermatologist Dermatopathologist Procedural Dermatology
636 Church St Ste 222
Evanston
, Illinois 60201-4578
Dr. Tony S. Fu
Dermatologist Dermatopathologist Procedural Dermatology
636 Church St Ste 222
Evanston
, Illinois 60201-4578
(847) 328-3952
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Tony S. Fu
- 636 Church St Ste 222
- Evanston, IL
- Zip : 60201-4578
- Fax : (847) 328-3952
- Phone : (847) 328-3913
Second Address
- Dr. Tony S. Fu
- 636 Church St Ste 222
- Evanston, IL
- Zip : 60201-4578
- Fax : (847) 328-3952
- Phone : (847) 328-3913
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 3648697 | IL |
| N | 207ND0900X | Dermatopathologist | 3648697 | IL |
| N | 207NS0135X | Procedural Dermatology | 3648697 | IL |
National Provider Identifier
| NPI | 1043383524 |
|---|---|
| Provider Name | Dr. Tony S. Fu |
| First Address | Evanston, IL 60201-4578 |
| Second Address | Evanston, IL 60201-4578 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 18/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C42575 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.